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HOUSE DOCKET, NO. 1587 FILED ON: 1/15/2025
HOUSE . . . . . . . . . . . . . . . No. 1420
The Commonwealth of Massachusetts
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PRESENTED BY:
Christopher J. Worrell
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To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
Court assembled:
The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
An Act to prevent medical debt by restoring health safety net eligibility levels.
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PETITION OF:
NAME:DISTRICT/ADDRESS :DATE ADDED:Christopher J. Worrell5th Suffolk1/15/2025Patrick Joseph Kearney4th Plymouth3/12/2025 1 of 2
HOUSE DOCKET, NO. 1587 FILED ON: 1/15/2025
HOUSE . . . . . . . . . . . . . . . No. 1420
By Representative Worrell of Boston, a petition (accompanied by bill, House, No. 1420) of
Christopher J. Worrell for legislation relative to health safety net eligibility. Health Care
Financing.
The Commonwealth of Massachusetts
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In the One Hundred and Ninety-Fourth General Court
(2025-2026)
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An Act to prevent medical debt by restoring health safety net eligibility levels.
Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
of the same, as follows:
1 SECTION 1. Section 65 of chapter 118E, as so appearing in the General Laws, is hereby
2amended by inserting the following words in subsection (b)(iii) after the words “determine the
3eligibility of uninsured and underinsured patients for reimbursable health services”:-
4 , pursuant to subsection (c) of this section,
5 SECTION 2. Section 65 of chapter 118E, as so appearing in the General Laws, is hereby
6amended by inserting after subsection (b) the following subsection:-
7 (c) The office shall develop eligibility criteria for uninsured or underinsured patients in
8accordance with, but not limited to, the following guidelines:
9 (i) Uninsured or underinsured patients, who meet all other eligibility criteria as
10determined by the office, up to 400 percent of the federal poverty level, as calculated pursuant to
11the regulations of the executive office, shall be eligible; 2 of 2
12 (ii) eligible patients whose income exceeds 200 percent of the federal poverty level, but
13does not exceed 400 percent of the federal poverty level, may be subject to a deductible; and
14 (iii) eligibility shall be retroactive to at least 180 days prior to receipt of an application for
15an eligible individual.
16 Nothing in this subsection shall be construed to limit the office’s ability to establish
17patient eligibility at income levels higher than those specified herein and/or to provide greater
18retroactive coverage than required by this paragraph.
19 SECTION 3. The health safety net office, established under section 65 of chapter 118E,
20in consultation with the office of Medicaid, shall convene a task force composed of experts that
21shall include, but is not limited to, a consumer advocate representative, a hospital representative,
22a community health center representative, and a health insurance plan representative to
23investigate and study the adequacy of the financing of the Health Safety Net Trust Fund
24established under section 66 of chapter 118E, including but not limited to the fund’s shortfall, the
25amounts paid to the fund by hospitals, ambulatory surgical centers, and surcharge payors
26established under sections 67 and 68 of chapter 118E, reimbursements made from the fund to
27hospitals and community health centers established under section 69 of chapter 118E, and
28transfers to and from the fund.
29 All appointments shall be made not later than 30 days after the effective date of this
30legislation. The task force shall meet not later than 60 days after the effective date of this
31legislation.
32 Not later than 1 year after the effective date of this legislation, the task force shall report
33to the general court the result of its investigation and study and its recommendations.